Kosten und Nutzen der Hyposensibilisierung bei allergischem Asthma und Rhinitis

verfasst von

W. Greiner, J. M. Graf, A. Gillissen

Abstract

Aim: Specific immune therapy (SIT) of polling allergy patients with allergic asthma and/or rhinitis by standardised and molecularly defined allergen preparations can lead to a symptom-free status or to a palliation of the symptoms on a long-term basis. The primary goal of this health economic evaluation study is the estimation of the direct cost effects of SIT compared with the costs associated with a symptomatic therapy without SIT. The secondary goal of the study is the evaluation of the long-term cost effects for the duration of 25 years after the start of SIT. Method: The costs were analysed retrospectively in specialised and GP practices for the period of three years in two groups of patients: The first group of patients had just terminated the SIT. The second group of patients would have been applicable for a SIT, but rejected to choose this therapy or the physician had not offered it. Costs and benefits of the therapy were modelled for a period of 25 years. The robustness of the results was examined in a sensitivity analysis by varying the duration of treatment effectiveness and resource prices. Results/Conclusions: The average total costs of treatment per year was more than halved by the SIT (in particular by lower drug expenses) (393.05 € versus 189.86 €), hospital costs did not arise in both groups. The indirect costs of the illness per employed patient amounted to 46.20 €; in the SIT group and 356.40 € in the control group. For the long-term modelling the costs of the SIT was considered as well. 25 years after the treatment net savings amount to 2,501.60 € (including the costs of SIT), i.e. that after this period the additional expenditures of SIT are more than balanced in comparison to the control group. Discounted savings are less significant (603.91 €). Net savings depend to a large amount on the price of ambulatory care and react less sensible to changes of the discount rate. Changes of the duration of the SIT effectiveness were only of minor significance for the study results. In case of sufficient diagnosis and correct application SIT represents an effective and on a long-term basis cost-saving therapy option.

Organisationseinheit(en)

Institut für Gesundheitsökonomie

Externe Organisation(en)

Robert-Koch-Klinik Leipzig

Typ

Artikel

Journal

Gesundheitsokonomie und Qualitatsmanagement

Band

8

Seiten

179-186

Anzahl der Seiten

8

ISSN

1432-2625

Publikationsdatum

06.2003

Publikationsstatus

Veröffentlicht

Peer-reviewed

Ja

ASJC Scopus Sachgebiete

Health policy

Ziele für nachhaltige Entwicklung

SDG 3 – Gute Gesundheit und Wohlergehen

Elektronische Version(en)

https://doi.org/10.1055/s-2003-40480 (Zugang: Geschlossen)